Prostate benign enlargement

This is seen commonly in men over the age of fifty years of age. The prostate gland produced a fluid that keeps the sperm healthy and mobile. It is placed just below the bladder and is the size of a chestnut, with the urethra ( the tube that carries urine from the bladder to the tip of the penis) passing directly through the middle of it. Swelling of the prostate gland may lead to just some discomfort and is completely harmless, but occasionally it can cause progressive obstruction to the urinary flow if swelling is pressing down on the urethra. No one knows the real cause for the enlargement of this gland, though hormonal change is believed to be contributory.
In this condition there is a gradual increase in the volume of urine that remains in the bladder after micturition and so there is a frequent desire to urinate, though each time the quantity of urine passed is not too much and the person has to wait with complaints of disturbed sleep since he has to wake up a few times at night also to pass the urine. There may occasionally be some interferance with the passage of urine and the patient may complain of an interrupted flow. In rare cases haematuria may occur due to urethral bleeding.
Cigarette smoking and excessive alcohol consumption may be contributory to the prostatic enlargement and so one should stop smoking and drinking.
Homoeopathic medicines
In cases of involuntary urination in old men with prostate troubles and loss of sexual power, where the person fears going to sleep since he knows he would have to wake up often to pass the urine. Sabal serrulata mother tincture, or 6 Potency ten drops in Little water three times daily.
For frequent urination at night with a full feeling and pressure in the rectum, Ferrum pic 30 c potency five pills three times daily.when the patient has to strain a lot before the flow comes out and where the prostatic enlargement is associated with a lot of irritation and loss of prostatic fluid, Chimaphila mother tincture ten drops in Little water three times daily.
For enlarged and indurated prostate with emission of prostatic fluid and frequent and urgent desire to urinate with pain and burning at the neck of the bladder with a spilt stream and sensation of trickling after urination Thuja 200 five pills twice daily.
Enlarged prostate especially in the elderly with premature impotence induration of the testicles and slowness in general, Baryta carb 20 c potency five pills twice daily.
When the urine flows very slowly with increased micturition especially in the night men who have a history of gonorrhheal infection Medorrhinum 200 c five pills once daily.
For prostatitic enlargement with great heat and constant urging to urinate with involuntary emissions Senecio Aureus 30 c potency five pills three times daily.
In case of enlarged prostate where urine is difficult to start with great thirst Hyderagea mother tincture ten drops three times daily in Little water
Clinical significance of prostate. Specific Antigen ( P.S.A.)
PSA is a glycoprotein produced by the cells of normal prostate gland. Although PSA is mostly found in semen, a small amount is also found in the blood. Most men have levels under 4 nanograms per miliiter of blood
The level of PSA above 4 ng/ mL is suggestive of prostate cancer but as the same time it is worth mentioning that prostate cancer was detected on biopsy in about 15 percent of men with a PSA below 4 ng/ mL. If the level is in the borderline range between 4 and 10 there is 25 percent chance of having prostate cancer while if it is more than 10 the chances are over50 percent which increases as PSA level increases.
Percent free PSA
PSA occurs in 2 major forms in the blood, one is attached to blood proteins while other circulates free. The percent free PSA test shows how much PSA circulates free compared to total PSA level. The percentage of free PSA is lower in men who have prostate cancer than in men who don't.
In patients with prostate cancer, less than 20 percent of the total PSA is in free from, while with BPH over 20 percent of the total PSA is free and not bound to alpha 1 antichymo tripsin.
If the PSA results are in borderline range( 4_10ng/ mL) a low percent free PSA ( less 10 percent) means the chances of having prostate cancer is about 50 percent a biopsy is advisable.
PSA velocity
The PSA velocity is not a separate test. It show how fast the PSA rises over time. Even the total PSA value is not over 4 ng/ mL ,a high PSA velocity suggests that can cancer may be present.if it goes up faster than 0.75 Ng/mL per it is considered high, and a biopsy should be considered.
PSA density.
The PSA density ( PSAD) is the serum PSA value divided by volume ( size​) of prostate gland ( with transrectal ultrasound) A higher density ( PSAD) indicates greater likelihood of cancer. The percent free PSA test is considered more accurate in comparison to PSA density.
A PSA result within the borderline range might be very worrisome in a 50 years old man but cause less concern in an 80 years old man.
It is known that PSA levels are normally higher in older men than in younger men, even when there's no cancer. It is advisable to compare PSA results of the patient in question with results from other men of the same age. But the usefulness of age specific PSA ranges is not well proven.
Factors affecting PSA levels
Prostatitis
Urinary retention
Ejaculation
Prostate biopsies and Turp.
Homoeopathic medicines
Difficult urination Achin pain in the back , suppression of the urine dependent upon the passage of gravel or uric acid Hederagenea Q/200 or 10 Potency
Acute cases of enlarged and inflammed prostate difficulty in passing urine. The gland is swollen and painful Sebal ser
Prostate enlargement in the aged Ferr pic
Frequent pressing to urinate with small discharge, patient strains much, cases from syphilis or badly managed gonorrhoea Thuja
Chronic hypertrophy of prostate with difficulty in voiding urine it stops and starts Con
Tenesmus frequent urination and great discharge due to prostate hypertrophy Chimaphila umbrella
Enlarged prostate with pus and mucus in urine Nat Sul
Retention of urine in old people from enlarged prostate when there's a great deal of trouble in urinating, Triticum repens
Intolerable urging and tenesmus constant desire to urinate. Urine drop by drop Nux vom and Cantharis alternatively
According to dr Nash Chimaphila and Cannabis indica are very useful remedies in prostatitic trouble of serious nature, When there's sensation of sweeling in the perineum or near the anus with mucus in the urine
In case of enlarged prostate gland swelling of genitals Dig
Prostate irritation, irritable bladder with vesical catarrh or gravel Barosma crenata
Acute affection of prostate after mal treated structure Merc cor
Retention of urine hypertrophied Bell.